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Lesson Powerful Bones. Powerful Knowledge Objectives: Understand the functions of calcium to health, peak bone mass period, and the prevention of osteoporosis. Keywords: Calcium, bones, teeth, peak bone mass period, osteoporosis Games: Wizard Mat, Oh My Word, Heavy Duty Words Utah State Office of Education Objective Food and Nutrition II. STANDARD 20.0118-03. Objective 20.0118-0302 . Classify common food and nutrition related health concerns. National Standard 14.2.3 (The emphasis is on understanding the relationship of diet in the prevention, control and maintenance of these health concerns. A doctor should always be consulted regarding Teacher’s Guide. V2/2010 Active Bones & Calcium © 2009 by Utah State University 50 min 1 10 10 25 5 Lesson Plan PreTest Teaching Games PostTest

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Lesson Powerful Bones. Powerful Knowledge

Objectives: Understand the functions of calcium to health, peak bone

mass period, and the prevention of osteoporosis.

Keywords: Calcium, bones, teeth, peak bone mass period, osteoporosis

Games: Wizard Mat, Oh My Word, Heavy Duty Words

Utah State Office of Education ObjectiveFood and Nutrition II. STANDARD 20.0118-03.

Objective 20.0118-0302. Classify common food and nutrition related health concerns.

National Standard 14.2.3 (The emphasis is on understanding the relationship of diet in the prevention, control and maintenance of these health concerns. A doctor should always be consulted regarding any of these concerns)

Discuss specific health concerns and risk factors for: anemia, colon and rectal cancer and osteoporosis.

Teacher’s Guide. V2/2010 Active Bones & Calcium © 2009 by Utah State University

10

10

25

5

Lesson Plan

PreTestTeachingGamesPostTest

50 min

1

TIPS: To set up the momentum, this lesson is best team-taught where each teacher switches between major sections.

Lesson Plan

1. Give Pre-test (Folders)2. Teach3. Games (pick and choose game(s) that fit your class duration)4. Give Post-test/evaluations (Folders)

A. CalciumAsk: How many of you have heard of the word “Calcium”? Raise your

hand. Calcium is an essential mineral that is needed to do many things

in our body.o Build strong bones and teetho Move our facial muscles so we can smileo Move our muscles so we can run and playo Help send nerve signals (impulses) to pull back our fingers

from being burnt from a pano Help stop bleedingo Heals cuts and scrapes.

Calcium is stored in different places in our body.o 99% is stored in our bones and teeth.o Up to 70% in bones and 30% in teeth. o The other 1% is in our blood going throughout our body.

Calcium needs vitamin D to be absorbed. It is called calcium’s best buddy.

Ask: What is calcium’s best buddy’s name again? (Vitamin D)

B. Peak Bone Mass Period Peak Bone Mass Period is important in every person’s life. Let’s

break these words down to understand what it means.

Ask: Can anyone tell me what ‘peak’ means?o Peak means the highest point, like the top of a mountain. o Bone Mass means the mineral content of bone. o Period means an interval of time.

Therefore, Peak Bone Mass Period is the time when our bones reach the highest mineral content. This falls between ages 15 and 30 years old.

9-18 year olds need 1,300 mg of calcium each day. Unfortunately, most teens are not getting the amount of calcium

they need.

Lesson 1. Powerful Bones. Powerful Knowledge. 2

If you don’t get the calcium you need now, you can’t catch up later in life.

After age 30, our bones begin to lose calcium instead of storing it. Most teens reach 90% of their peak bone mass by age 17 after they finish their growth spurts.

Ask: How many of you save money using a piggy bank or a bank account to buy something you really want?

Our body gets calcium from food. If our diet gets enough calcium, it is stored in the bone bank. If our diet doesn’t get enough calcium, our body will withdraw calcium from the bone bank to provide calcium. By getting enough calcium, our bone bank will increase to achieve the peak bone mass.

Our goal is to save enough calcium in the bone bank to prevent osteoporosis.

We use our bones just like we use our piggy banks or bank accounts.

C. What is Osteoporosis? Osteoporosis is a disease that elderly individuals can develop

after a long time of not getting enough calcium in their diet.

Ask: How many of you have heard about hip fracture or hip replacement? Raise your hand.

Osteoporosis is the disease that can cause these things to happen.

o Bones are living tissue that continually grow and shrink. o When they shrink or begin to have holes this is

osteoporosis. The word Osteoporosis is made up of two words.

o Osteo meaning boneo Porosis meaning holes and passage.

Ask: What happens when your bones have more and more holes? Will it become weak for strong? (weak)

Ask: When you add pressure to the weaken bone, what will happen? (It breaks!)

Osteoporosis is a disease where a person’s bone loses calcium faster than the calcium can be stored back into the bones making them ‘holey’ and weak.

o Osteoporosis has a lot of O’s in it reminding us of holes in the bones and that it occurs when we don’t get enough calcium.

Lesson 1. Powerful Bones. Powerful Knowledge. 3

Optional illustration: What makes a bone strong so it is difficult to break?

o Example 1: Place a block of solid cheese on a table. Try to press it down from all direction. Start poking little holes randomly with the tip of a peeler, remove and/or eat them. Then try to crush it this time. (Ask: Is the cheese much easier to crush now?)

o Example 2: Cut a hard packing sponge into femoral shape. Cut out holes that you can remove.

i. Demo 1: Put a heavy book on the bone. See how flat it becomes.

ii. Demo 2: Remove the book. Remove holes randomly. Put the heavy book back. See how much flatter the sponge becomes this time.

D. Consequences of Osteoporosis1. Storing enough calcium in your bone bank during the peak bone

mass period will help prevent osteoporosis.2. What are the consequences of osteoporosis?

o Broken hips with lots of pain. o Lose their height and become shorter because their

backbones collapse (show optional posters).o Suffer from long term pain and troubles in moving

So, while you can still power up your bones, do it!

PostersP-1. Osteoporosis –

Definition

P-2. Osteoporosis –

Bone MatrixSource: www.soylabs.com/img/osteoporosis.jpg

Optional Posters to Order

Visuals in power point form and

other documents available

online at

http://extension.usu.edu/nic

Lesson 1. Powerful Bones. Powerful Knowledge. 4

http://www.a3bs.com/postersosteoporosisvr1121uu,p_16_0_0_0_2568.html

http://www.shopanatomical.com/Understanding-Osteoporosis-Chart_p_486.html

P-1. Osteoporosis – Definition

OSTEOPOROSIS

P-2. Osteoporosis – Bone MatrixLesson 1. Powerful Bones. Powerful Knowledge. 5

Lesson 1. Powerful Bones. Powerful Knowledge. 6

Because calcium is important to my health, I am going to set a mini goal for me to

try out for one week. My goal is: ______________________________________

_________________________________________________________________

H-1

Say YES to Calcium!

1. What is Calcium? 2. What is Peak Bone Mass Period?

3. What is Osteoporosis?

Calcium

Strengthens bones

Helps prevent osteoporosis

Improves lifelong dental health.

Lesson 1. Powerful Bones. Powerful Knowledge. 7

SMART

A MineralThe time when our bones absorb and store the greatest

amount of calcium, between 15 and 30

years old.

A bone disease where bones

become holey and weak.

Players: 2 or more (individually or team of 3).

Materials: Game mat, 2 foam die, question and answer set, Mystery Moves and Treats cards.

Duration: 15-30 minutes. Modification: Use two dice if you have less time to play this game.

Goal: Be the first player or team to move forward one round and return to the starting point.

How to Play

1. Each team rolls a die. The team with the highest number starts moving first.

2. Each team assigns a member to move as a game piece by standing in the box where the team lands.

3. The first team rolls two dice. The sum represents the number of steps the team can move forward in that turn.

Your team must correctly answer a question. If you fail to answer the question, you will lose the next turn and attempt to answer a question. If you fail to answer the second time, you will go to TIMEOUT CORNER.**You must stay in the TIMEOUT CORNER until you answer two questions correctly in the same turn. After answering correctly, roll the die (dice) to move immediately.

Immediately draw a MYSTERY MOVES CARD and follow the directions.

Immediately draw a TREATS CARD and follow the directions.

Safe zone. No action is needed.

The player must give a big smile to all other players.

4. The first team to make it around once (or more depending on time) wins.

Lesson 1. Powerful Bones. Powerful Knowledge. 8

Wizard Mat Question SetEasy

1. 99% of what mineral is stored in our bones and teeth?

a. Calcium2. Where is 99% of calcium stored in our body?

a. Bones and teeth3. True of false. Bones are living tissue?

a. True4. How can we increase our bone mass?

a. By getting enough calcium5. How do bones become weak?

a. We lose more calcium in our bones than we can store back in them.

6. What does ‘osteo’ mean?a. Bone

7. What does ‘porosis’ mean?a. Porous/holes and passage

8. A person with osteoporosis has high or low bone mass?

a. Low.9. Do the majority of children and teenagers get

enough calcium?a. No

Medium1. Besides our bones, what other part of our body

needs calcium to be healthy?a. Our teeth

2. Peak Bone Mass period is the time when our bones absorb and store the greatest amount of calcium. When is the period of Peak Bone Mass?

a. 15 to 30 years old3. When do we start losing calcium in our bones?

a. Around 30 years old4. What is bone mass?

a. The amount of mineral in the bones5. If you have low bone mass when you are young, you

are at risk for developing what disease when you are older?

a. Osteoporosis6. Spell the word Osteoporosis

a. OSTEOPOROSIS7. What does osteoporosis mean?

a. Porous bones

8. List one consequence of osteoporosisa. Broken hips that cause lots of pain, a person

becomes shorter because backbones collapse, has trouble moving, long-term pain,

Difficult1. What percentage of our bones is made up of

calcium?a. 70%

2. What percentage of our teeth is made up of calcium?a. 33%

3. Give an example of other functions calcium has in our body?

a. Helps our muscles move, sends nerve signals, stops bleeding, helps heal cuts and scrapes

4. For youth age between 9 and 18, how many milligrams of calcium do they need each day?

a. 1,300 mg5. Who needs more calcium in the diet: a 5 year old or

a 15 year old?a. The 15 year old

6. Which Ethnic group is most vulnerable to osteoporosis? A. Asian. B. Caucasion. C. Hispanic

a. Asian, because of lactose intolerance7. How many bones do you have as a baby?

a. 3008. How many bones do you have as an adult?

a. 206, because some bones fuse together with growth

Lesson 1. Powerful Bones. Powerful Knowledge. 9

DIY Instructions for Wizard Mat

Fabric VersionMaterials Duck tape, scissors, sewing machine, ruler, marker, fabric paint

Mat: Part A. 13-inch square fabric (2 black, 4 red, 4 blue, 7 white, 11 green) Part B. 6.5-foot square fabric as top center piece Part C. 8.5-foot square fabric as bottom piece Leftover fabric to make the three center pieces (green, red, and blue) that are either sewn

or as loose piecesGame pieces: laminated printout from page 20, two foam dice, 2 small bags

Duration 60 minutesSteps 1. Sew Part A. 2. Sew Part B to Part A. 3. Sew Part C to cover the bottom of Part A & Part B. 4.

Use fabric paint to draw patterns. 5. Air dry play mat for 4 hours.

Fabric Version: 8’ x 8’ Quilt Vinyl Version: 5’ x 5’ mat

Lesson 1. Powerful Bones. Powerful Knowledge. 10

Vinyl Version

Materials Mat: Vinyl (6’x6’), duck tape, foam stickers, scissors, ruler, marker penGame pieces: laminated printout from page 20, two foam dice, 2 small bags

Duration 30 minutes

Steps1. On a clean floor, layout the vinyl sheet.2. Using a marker pen, mark connecting points on vinyl sheet for quick alignment of duck tapes.3. To fill out the color of each box, adhere foam stickers in the pattern you like as long as they are color-

coded.4. In the center, create three center pieces: Red color for Treats, Blue for Mystery Moves, and Green for

Questions.5. Put assorted laminated cards into bags next to Treats and Mystery Moves.

Wizard Mat –Game Board Version

The actual size, printable gameboard version is available for download at http://extension.usu.edu/nic

Lesson 1. Powerful Bones. Powerful Knowledge. 11

Players: 2 teams of 5 or more players.

Materials: Keywords, 4.25” x 5.5” laminated alphabet cards and ‘blank’ cards (4 alphabets per letter-sized page).

Duration: 5-10 minutes.

Goal: Be the first team to spell a keyword correctly.

… Moving around …

How to Play

1. Spread all alphabet cards on the floor.

2. Each team selects a leader. All players stand around the alphabet cards.

3. The judge hands a keyword to each team leader. Both teams will begin together and compete to form a chain of the alphabets that spell out the keyword.

4. The fastest team that completes the spelling correctly wins.

Keyword Examples: Bones, Teeth, Osteoporosis, Peak Bone Mass [some students can act as ‘blank space’], Porosis, Calcium

Alphabets to make:

4A, 2B, 4C, 4E, 2H, 2I, 2K, 2L, 2M, 2N, 8O, 2P, 2R, 6S, 4T, 2U, 4 blank

Lesson 1. Powerful Bones. Powerful Knowledge. 12

… Need a little weight-bearing? ...

Players: 2 players or more.

Materials: Keyword cards, keyword bag, bean bags.

Duration: 5-10 minutes.

Goal: Be the first one to spell a keyword correctly without dropping any bean bags.

How to Play

1. Place one bean bag on the back of each speller’s hands. Each player will stretch out both arms.

2. The judge will announce a keyword drawn from the ‘keyword bag’.

3. All spellers will stand in one line facing the judge. They will move their straighten hand to spell each letter. The size of each letter spelt with hand movements must be as big as a letter-sized paper.

4. Starting together, every speller will act out each alphabet of the keyword in right order without dropping any bean bags.

5. If any bean bag falls before a word is completely spelled out, the speller has to start over.

6. The fastest speller who spells out the whole word without dropping any bean bags wins.

TIPS: To make the game more advanced, double the number of bean bags in Round 2.

Lesson 1. Powerful Bones. Powerful Knowledge. 13

Answer Key (Student copy in folders) Time: First 10 minutes

1. Besides our bones, our _______ also needs high amounts of calcium to be healthy.a. Brainb. Teethc. Hair

2. Peak Bone Mass period falls between 1 and 9 years old. a. Trueb. False

3. Bones are living tissue? a. Trueb. False

4. What does Osteoporosis mean? a. Fractured bonesb. Repaired bonesc. Porous or ‘holey’ bones

5. What percentage of our bone is made up of calcium? a. 70%b. 90%c. 100%

Score: _______ Points

Lesson 1. Powerful Bones. Powerful Knowledge. 14

Name:______________________ Age: _________ Sex: M / F Date:_________ Calcium Countdown

How? Circle the food picture (or ) if you ate that food yesterday.

Lesson 1. Powerful Bones. Powerful Knowledge. 15

Answer Key (Student copy in folders) Time: Last 5 minutes

1. Where is 99% calcium stored in human bodies? a. Bonesb. Teethc. Bones and Teeth

2. When is the period of Peak Bone Mass? a. 0 to 9 years oldb. 9 to 20 years oldc. 15 to 30 years old

3. Our bones are living tissue, when we have very little calcium in our diet, we _________ bone density.a. loseb. gain

4. If you have low bone density when you are young, you are at risk for developing a bone disease diseased called ________when you are older.

O S T E O P O R O S I S

5. What percentage of our teeth is made up of calcium? a. 30%b. 50%c. 70%

Score: _______ points

Lesson 1. Powerful Bones. Powerful Knowledge. 16

To be completed at the end of Lesson 4 if all four lessons are taught. If not, have your students complete this survey at the end of this lesson.

Name: ______________________ School: ___________________________

Date: ________ Age: ______ Gender: Boy Girl

Ethnicity: White Hispanic Asian Native American

African American Other: ____________________________

1. Things I like about this class:

Short Lesson

Games

Handouts

Treats

Something else: __________________________________

2. Things I don’t like about this class are:

Lesson 1. Powerful Bones. Powerful Knowledge. 17

Teacher’s Name: ____________________________ Date: _____________

Age group taught: _______ years old Years of Teaching:________

Grading Scale:

A+ = Excellent A = Very Good B = Good C = Average D = Poor F = Fail

Reading and Comprehension Level

Aspects Grade Comments

Reading Level

Clear Purpose

Appropriate word usage

Appropriate sentence and paragraph structures

Overall organization

Appropriate tone

Lesson 1. Powerful Bones. Powerful Knowledge. 18

Content

Aspects Grade Comments

Accurate, credible information

Age Appropriate information

Practical information

Appropriate recipes

Design and Quality

Aspects Grade Comments

Appropriate use of color

Readable type size and style

Appropriate illustration

Appropriate tables, charts, and graphs

Organized, balanced layout

Which game(s) did you use to teach this lesson?

Which is the best game that you consider most effective in helping your students learn and apply?

Overall grade = ________Additional comments:

Lesson 1. Powerful Bones. Powerful Knowledge. 19

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Lesson 1. Powerful Bones. Powerful Knowledge. 20

Tracking Sheet Teacher’s Initial: _____

Start Date: __________ End Date: __________

# Full Name Consent Submitted

Pre-Test Score

Calcium-Countdown

Score

Post-Test Score

Feedback Submitted

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Extra Notes

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USU Extension is an equal opportunity, affirmative action educator and employer.Utah State University is committed to providing an environment free from harassment and other forms of illegal discrimination based on race, color, religion, sex,

national origin, age (40 and older), disability, and veteran’s status. USU’s policy also prohibits discrimination on the basis of sexual orientation in employment and

academic related practices and decisions.

Utah State University employees and students cannot, because of race, color, religion, sex, national origin, age, disability, or veteran’s status, refuse to hire; discharge;

promote; demote; terminate; discriminate in compensation; or discriminate regarding terms, privileges, or conditions of employment, against any person otherwise

qualified. Employees and students also cannot discriminate in the classroom, residence halls, or in on/off campus, USU-sponsored events and activities.

This publication is issued in furtherance of Cooperative Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture,

Noelle E. Cockett, Vice President for Extension and Agriculture, Utah State University.

Lesson 1. Powerful Bones. Powerful Knowledge. 23

References1. American Academy of Pediatrics. http://www.aap.org. 2. American School Health Association. http://www.ashaweb.org.

3. Dietary Guidelines for Americans 2005. http://www.healthierus.gov/dietaryguidelines.

4. Establishing Peak Bone Mass. National Council of Strength and Fitness. http://www.ncsf.org/pdf/ceu/establishing-peak-bone-mass.pdf

5. Matkovic V, Fontana D, Tominac C, Goel P., Chesnut III CH. Factors that Influence Peak Bone Mass Formation: A Study of Calcium Balance and the Inheritance of Bone Mass in Adolescent Females. American Journal of Clinical Nutrition, 52:878-888, 1990.

6. MyPyramid. http://MyPyramid.gov.

7. National Institute of Child Health and Human Development – Milk Matters Calcium Education Campaign. http://www.nichd.nih.gov/milk.

8. National Institutes of Health – Bone Health. http://www.niams.nih.gov/Health_Info/Bone/.

9. National Osteoporosis Foundation. http://www.NOF.org.

10. Powerful Girls Have Powerful Bones. National institutes of Health. http://www.girlshealth.gov/bones/.

11. U.S. Department of Health and Human Services – Healthier U.S. http://healthierus.gov/index.html.

12. Weaver CM and Heaney RP. Calcium in Human Health. New York, NY: Humana Press; 2006.

13. What We Eat in America, NHANES 2005-2006 - Usual Nutrient Intakes From Food and Water Compared to 1997 Dietary Reference Intakes for Vitamin D, Calcium, Phosphorus, and Magnesium. http://www.ars.usda.gov/SP2UserFiles/Place/12355000/pdf/0506/usual_nutrient_intake_vitD_ca_phos_mg_2005-06.pdf.

Lesson 1. Powerful Bones. Powerful Knowledge. 24